Kelly M. Broederdorf, REGISTERED NURSE
NPI 1952023459ActiveIndividual· Nurse Practitioner· Woodstock, IL
Nurse Practitioner (REGISTERED NURSE) with Central Dupage Physician Group, practicing in Woodstock, Illinois. Their prescriptions cost Medicare Part D more than their services did: $127,130 for 1,085 claims, against $27,456 paid for services in 2024. Lists Northwestern Lake Forest Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1952023459 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | REGISTERED NURSE |
| Sole proprietor | No |
| NPI issued | Sep 13, 2022 |
| Last updated in NPPES | Jun 10, 2024 |
| Certified by provider | Jun 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209027210 | IL |
| Registered Nurse, Oncology | 163WX0200X | 041.387373 | IL |
| Nurse Practitioner, Family | 363LF0000X | 209-027210 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 177 |
|---|---|
| Services billed | 434 across 31 procedure codes |
| Paid by Medicare | $27,456 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,085 · 2,150 30-day fills |
|---|---|
| Patients | 222 |
| Total drug cost | $127,130 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Central Dupage Physician GroupGeneva, IL · 1,080 clinicians
Hospital affiliations
- Northwestern Lake Forest HospitalLake Forest, IL
- Northwestern Medicine Central Dupage HospitalWinfield, IL
- Northwestern Medicine McHenryMcHenry, IL
Other facilities
- Home Care ExpertsHome health agency · Burr Ridge, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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